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Showing 1 - 100 of 100
Utilization Review Nurse Holy Redeemer Health System  Jenkintown, PA
Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c ... Read more
Apply

Jenkintown,PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c

Medical Review Nurse (Hybrid) National Financial Partners Corp.  Woodbury, NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ... Read more
Apply

Woodbury,NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the

Medical Review Nurse (Hybrid) National Financial Partners Corporation  Woodbury, NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th ... Read more
Apply

Woodbury,NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th

Physician Reviewer Dane Street, LLC  Philadelphia, PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ... Read more
Apply

Philadelphia,PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce

Endocrinologist- Bucks/Princeton Careerbuilder  Philadelphia, PA
DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicin ... Read more
Apply

Philadelphia,PA

DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicin

Clinical Reviewer - Remote Maximus  Philadelphia, PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ... Read more
Apply

Philadelphia,PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati

Denials Review Specialist Med-Metrix LLC  Philadelphia, PA
Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization ... Read more
Apply

Philadelphia,PA

Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization

Claims Reviewer Angeion Group LLC  Philadelphia, PA
Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered ... Read more
Apply

Philadelphia,PA

Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered

Desk Reviewer Philadelphia Corporation for Aging  Philadelphia, PA
Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T ... Read more
Apply

Philadelphia,PA

Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T

Privacy Engineer, Implementation Review Facebook  Trenton, NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
Apply

Trenton,NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

3rd Shift Compounder - Princeton, NJ DSM-Firmenich  Philadelphia, PA
3rd Shift Compounder Princeton, NJ, US On-Site CL 12 As a Compounder you'll be working to support the plant's day-to-day operations. You'll be supported by your team with possibilities to grow into ... Read more
Apply

Philadelphia,PA

3rd Shift Compounder Princeton, NJ, US On-Site CL 12 As a Compounder you'll be working to support the plant's day-to-day operations. You'll be supported by your team with possibilities to grow into

Pest Control Technician (Princeton) Greenix Pest Control  Beverly, NJ
Job DescriptionAt Greenix, we are committed to protecting and nurturing the communities we serve and live in, focused on one customer, one employee and one solution at a time. Together, we believe in ... Read more
Apply

Beverly,NJ

Job DescriptionAt Greenix, we are committed to protecting and nurturing the communities we serve and live in, focused on one customer, one employee and one solution at a time. Together, we believe in

Consumer Credit Review Executive Director JPMorgan Chase  Wilmington, DE
Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi ... Read more
Apply

Wilmington,DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi

HEDIS Data Reviewer vTech Solution, Inc.  Newtown Square, PA
Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo ... Read more
Apply

Newtown Square,PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo

Document Review Attorney Brock & Scott  King Of Prussia, PA
About the Organization Brock Scott, PLLC is a full service law firm with extensive experience serving the financial sector. With offices across Alabama, Florida, Georgia, Maryland, Michigan, Kentucky ... Read more
Apply

King Of Prussia,PA

About the Organization Brock Scott, PLLC is a full service law firm with extensive experience serving the financial sector. With offices across Alabama, Florida, Georgia, Maryland, Michigan, Kentucky

Product Security Code Review Engineer Accenture  Philadelphia, PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
Apply

Philadelphia,PA

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Investment Consultant - Princeton, NJ Charles Schwab  Levittown, PA
Position Type: RegularYour opportunityAt Schwab, youre empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us challenge the status quo and tran ... Read more
Apply

Levittown,PA

Position Type: RegularYour opportunityAt Schwab, youre empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us challenge the status quo and tran

Associate Medical Director, Utilization Management Reviewer Cohere Health  Philadelphia, PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ... Read more
Apply

Philadelphia,PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou

Utilization Review Business Support Specialist - REMOTE Highmarkhealth  Philadelphia, PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ... Read more
Apply

Philadelphia,PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl

Utilization Review Coordinator Foundations Behavioral Health  Doylestown, PA
Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-ti ... Read more
Apply

Doylestown,PA

Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-ti

Quality Specialist BRM Reviewer Abacus Service Corporation  Malvern, PA
Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a ... Read more
Apply

Malvern,PA

Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a

Utilization Review Nurse (Workers Compensation) Elite  King Of Prussia, PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th ... Read more
Apply

King Of Prussia,PA

Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th

Sr/Engineer - Design Review - 90374634 - Philadelphia (Hybrid) Amtrak  Philadelphia, PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ... Read more
Apply

Philadelphia,PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Philadelphia, PA
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
Apply

Philadelphia,PA

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

Director of Incident Response Review TransPerfect  Philadelphia, PA
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more
Apply

Philadelphia,PA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Utilization Review Nurse Holy Redeemer Health System  Jenkintown, PA
Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c ... Read more
Apply

Jenkintown,PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c

Medical Review Nurse (Hybrid) National Financial Partners Corp.  Woodbury, NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ... Read more
Apply

Woodbury,NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the

Medical Review Nurse (Hybrid) National Financial Partners Corporation  Woodbury, NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th ... Read more
Apply

Woodbury,NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th

Physician Reviewer Dane Street, LLC  Philadelphia, PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ... Read more
Apply

Philadelphia,PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce

Endocrinologist- Bucks/Princeton Careerbuilder  Philadelphia, PA
DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicin ... Read more
Apply

Philadelphia,PA

DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicin

Clinical Reviewer - Remote Maximus  Philadelphia, PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ... Read more
Apply

Philadelphia,PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati

Denials Review Specialist Med-Metrix LLC  Philadelphia, PA
Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization ... Read more
Apply

Philadelphia,PA

Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization

Claims Reviewer Angeion Group LLC  Philadelphia, PA
Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered ... Read more
Apply

Philadelphia,PA

Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered

Desk Reviewer Philadelphia Corporation for Aging  Philadelphia, PA
Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T ... Read more
Apply

Philadelphia,PA

Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T

Privacy Engineer, Implementation Review Facebook  Trenton, NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
Apply

Trenton,NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

3rd Shift Compounder - Princeton, NJ DSM-Firmenich  Philadelphia, PA
3rd Shift Compounder Princeton, NJ, US On-Site CL 12 As a Compounder you'll be working to support the plant's day-to-day operations. You'll be supported by your team with possibilities to grow into ... Read more
Apply

Philadelphia,PA

3rd Shift Compounder Princeton, NJ, US On-Site CL 12 As a Compounder you'll be working to support the plant's day-to-day operations. You'll be supported by your team with possibilities to grow into

Pest Control Technician (Princeton) Greenix Pest Control  Beverly, NJ
Job DescriptionAt Greenix, we are committed to protecting and nurturing the communities we serve and live in, focused on one customer, one employee and one solution at a time. Together, we believe in ... Read more
Apply

Beverly,NJ

Job DescriptionAt Greenix, we are committed to protecting and nurturing the communities we serve and live in, focused on one customer, one employee and one solution at a time. Together, we believe in

Consumer Credit Review Executive Director JPMorgan Chase  Wilmington, DE
Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi ... Read more
Apply

Wilmington,DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi

HEDIS Data Reviewer vTech Solution, Inc.  Newtown Square, PA
Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo ... Read more
Apply

Newtown Square,PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo

Document Review Attorney Brock & Scott  King Of Prussia, PA
About the Organization Brock Scott, PLLC is a full service law firm with extensive experience serving the financial sector. With offices across Alabama, Florida, Georgia, Maryland, Michigan, Kentucky ... Read more
Apply

King Of Prussia,PA

About the Organization Brock Scott, PLLC is a full service law firm with extensive experience serving the financial sector. With offices across Alabama, Florida, Georgia, Maryland, Michigan, Kentucky

Product Security Code Review Engineer Accenture  Philadelphia, PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
Apply

Philadelphia,PA

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Investment Consultant - Princeton, NJ Charles Schwab  Levittown, PA
Position Type: RegularYour opportunityAt Schwab, youre empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us challenge the status quo and tran ... Read more
Apply

Levittown,PA

Position Type: RegularYour opportunityAt Schwab, youre empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us challenge the status quo and tran

Associate Medical Director, Utilization Management Reviewer Cohere Health  Philadelphia, PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ... Read more
Apply

Philadelphia,PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou

Utilization Review Business Support Specialist - REMOTE Highmarkhealth  Philadelphia, PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ... Read more
Apply

Philadelphia,PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl

Utilization Review Coordinator Foundations Behavioral Health  Doylestown, PA
Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-ti ... Read more
Apply

Doylestown,PA

Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-ti

Quality Specialist BRM Reviewer Abacus Service Corporation  Malvern, PA
Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a ... Read more
Apply

Malvern,PA

Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a

Utilization Review Nurse (Workers Compensation) Elite  King Of Prussia, PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th ... Read more
Apply

King Of Prussia,PA

Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th

Sr/Engineer - Design Review - 90374634 - Philadelphia (Hybrid) Amtrak  Philadelphia, PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ... Read more
Apply

Philadelphia,PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Philadelphia, PA
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
Apply

Philadelphia,PA

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

Director of Incident Response Review TransPerfect  Philadelphia, PA
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more
Apply

Philadelphia,PA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Clinical Medical Review Nurse (Remote) Blue Cross and Blue Shield Association  Washington, DC
Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl ... Read more
Apply

Washington,DC

Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl

Physician Reviewer Kelly Services  Washington, DC
Job detailsKelly Government Solutions is seeking MD Locum Tenens Physicians who are willing to conduct one-time exams for Veterans seeking a new or adjusted disability rating in the United States of A ... Read more
Apply

Washington,DC

Job detailsKelly Government Solutions is seeking MD Locum Tenens Physicians who are willing to conduct one-time exams for Veterans seeking a new or adjusted disability rating in the United States of A

Merit Reviewers Ark Solutions Inc.  Washington, DC
Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr ... Read more
Apply

Washington,DC

Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr

Utilization Review RN - Virginia Hospital Center Kaiser Permanente  Arlington, VA
The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential ... Read more
Apply

Arlington,VA

The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential

Grant Application Review Specialist Corner Alliance  Washington, DC
Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac ... Read more
Apply

Washington,DC

Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac

Eligibility Review Manager Serco  Washington, DC
Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate ... Read more
Apply

Washington,DC

Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate

Content Review Specialist Bcguardian Llp  Washington, DC
BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes ... Read more
Apply

Washington,DC

BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes

Privacy Engineer, Implementation Review Facebook  Annapolis, MD
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
Apply

Annapolis,MD

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Design Reviewer (ARNG) WWC Global  Arlington, VA
WWC Federal is seeking a Design Reviewer to serve on a fully funded effort supporting ARNG in their construction efforts. Responsibilities may include, but are not limited to: Demonstrating an underst ... Read more
Apply

Arlington,VA

WWC Federal is seeking a Design Reviewer to serve on a fully funded effort supporting ARNG in their construction efforts. Responsibilities may include, but are not limited to: Demonstrating an underst

Architectural Reviewer Careerbuilder  Upper Marlboro, MD
Sheladia is a professional multi-disciplinary consulting firm providing full architectural engineering services and development consulting services since 1974, with demonstrated experience in the suc ... Read more
Apply

Upper Marlboro,MD

Sheladia is a professional multi-disciplinary consulting firm providing full architectural engineering services and development consulting services since 1974, with demonstrated experience in the suc

IV&V Design Reviewer and Inspector Swingtech  Arlington, VA
Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS ... Read more
Apply

Arlington,VA

Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS

Tax Reviewer Paro.ai  Washington, DC
You will enjoy this role if: You are welcoming, reassuring, and have a passion for providing exceptional customer service You are a go-to tax expert with 3+ years filing a minimum of 30 federal and st ... Read more
Apply

Washington,DC

You will enjoy this role if: You are welcoming, reassuring, and have a passion for providing exceptional customer service You are a go-to tax expert with 3+ years filing a minimum of 30 federal and st

Research Manager - 360 Reviews U.S. News & World Report  Washington, DC
Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We ... Read more
Apply

Washington,DC

Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We

Document Review Staff Attorney DLA Piper  Washington, DC
_DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, natio ... Read more
Apply

Washington,DC

_DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, natio

Project Manager Physical Security Design Review PC Network  Washington, DC
PCN is looking to add a Project Manager to our team in Washington, DC. Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r ... Read more
Apply

Washington,DC

PCN is looking to add a Project Manager to our team in Washington, DC. Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r

Experienced Review Specialist Peraton  Glenn Dale, MD
ResponsibilitiesPeraton is seeking to fill a critical role for an experienced Review Specialist This position is 100% remote.In this role the Reviewer will be responsible for the following:Reviews f ... Read more
Apply

Glenn Dale,MD

ResponsibilitiesPeraton is seeking to fill a critical role for an experienced Review Specialist This position is 100% remote.In this role the Reviewer will be responsible for the following:Reviews f

Review Systems Specialist Substance Abuse and Mental Health Services Administration  Rockville, MD
SummaryThis position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, headquartered in Rockville, Maryland.Learn More About SAMHSAT ... Read more
Apply

Rockville,MD

SummaryThis position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, headquartered in Rockville, Maryland.Learn More About SAMHSAT

Strategic Policy Review Analyst Zantech  Arlington, VA
Are you looking for your next challenge? Are you ready to work with a performance-based small company? If so, we are looking for you; someone who strives to support a strong team and to deliver "Outst ... Read more
Apply

Arlington,VA

Are you looking for your next challenge? Are you ready to work with a performance-based small company? If so, we are looking for you; someone who strives to support a strong team and to deliver "Outst

Policy Specialist - Medical Review Serco Inc.  Washington, DC
Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Me ... Read more
Apply

Washington,DC

Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Me

District Regulatory Review Manager Sun Life Financial  Bethesda, MD
District Regulatory Review Manager page is loaded District Regulatory Review Manager Apply locations Toronto, Ontario Sun Life Montreal Metcalfe Sun Life Waterloo King time type F ... Read more
Apply

Bethesda,MD

District Regulatory Review Manager page is loaded District Regulatory Review Manager Apply locations Toronto, Ontario Sun Life Montreal Metcalfe Sun Life Waterloo King time type F

Scientific Review Administrator Contractor Axle Informatics Llc  Bethesda, MD
(ID: 2024-5128)Axle is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers an ... Read more
Apply

Bethesda,MD

(ID: 2024-5128)Axle is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers an

Project Manager (Developer/ Reviewer) Merit 321  Gaithersburg, MD
Position: Project Manager (Developer/ Reviewer) Location: Prince Georges County, MD 100% On-Site Clearance: style="font-family:Helvetic ... Read more
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Gaithersburg,MD

Position: Project Manager (Developer/ Reviewer) Location: Prince Georges County, MD 100% On-Site Clearance: style="font-family:Helvetic

Specialist, Ethics Review, PAHOERC World Health Organization  Washington, DC
.OBJECTIVE OF THE OFFICE/DEPARTMENTThis requisition is for employment at the Pan American Health Organization (PAHO)/Regional Office of the World Health Organization (WHO)PAHO's Ethics Review Committe ... Read more
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Washington,DC

.OBJECTIVE OF THE OFFICE/DEPARTMENTThis requisition is for employment at the Pan American Health Organization (PAHO)/Regional Office of the World Health Organization (WHO)PAHO's Ethics Review Committe

JCIP ACAS Technical Reviewer- Senior Pueo Business Solutions  Washington, DC
Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi ... Read more
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Washington,DC

Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi

Legal Project Assistant (Document review, Research, Data review) The Choice, Inc.  Washington, DC
The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office?s litigation division.This project provides valuable entry-level professional experience, co ... Read more
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Washington,DC

The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office?s litigation division.This project provides valuable entry-level professional experience, co

Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
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Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
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Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Provider Contestment Reviewer Sentara Healthcare  Miami, FL
City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G ... Read more
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Miami,FL

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G

Customer Service - Princeton/Homestead, FL Wencor Group  Miami, FL
Customer Service Agent II * Princeton, FL, USA * Hourly * Full Time *Medical, Dental, Vision, Life, STD, LTD, 401k with Match, Vacation, Sick Leave, Holidays, Growth within company.*Job Opening ... Read more
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Miami,FL

Customer Service Agent II * Princeton, FL, USA * Hourly * Full Time *Medical, Dental, Vision, Life, STD, LTD, 401k with Match, Vacation, Sick Leave, Holidays, Growth within company.*Job Opening

Hospital Reviewer/Utilization Manager DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
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Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

QA Batch Record Reviewer Careerbuilder  Miami, FL
DescriptionJob PurposeThe Quality Assurance (QA) Batch Record Reviewer performs the Technical and Final release function of the graft release process. The QA Batch Record Reviewer performs functions n ... Read more
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Miami,FL

DescriptionJob PurposeThe Quality Assurance (QA) Batch Record Reviewer performs the Technical and Final release function of the graft release process. The QA Batch Record Reviewer performs functions n

Product Security Code Review Engineer Accenture  Miami, FL
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
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Miami,FL

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
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Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Hebrew Document Review Attorney Contact Government Services, LLC  Hollywood, FL
Hebrew Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hebrew Familiarity with document review workflows Examples: Privilege ... Read more
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Hollywood,FL

Hebrew Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hebrew Familiarity with document review workflows Examples: Privilege

Utilization Review Case Manager, Non-RN The University of Miami  Miami, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Miami,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Utilization Review Case Manager, Non-RN University of Miami  Miami, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work ... Read more
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Miami,FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work

Shift Manager PRINCETON, FL 23244 SW 112TH AVENUE 33032 Pizza Hut Shop  Miami, FL
23244 SW 112TH AVENUE **PRINCETON, FL 33032****Shift Manager****Description:**Working at Pizza Hut is about making hungry people happy. It's about being independent and having fun, making new friends ... Read more
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Miami,FL

23244 SW 112TH AVENUE **PRINCETON, FL 33032****Shift Manager****Description:**Working at Pizza Hut is about making hungry people happy. It's about being independent and having fun, making new friends

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami Miller School of Medicine  Hialeah, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Hialeah,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Bilingual Document Review / Executive Support Analyst Lenmar Consulting Inc  Miami, FL
Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati ... Read more
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Miami,FL

Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED Department Of The Treasury  Miami, FL
DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin ... Read more
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Miami,FL

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the followin

Document Review Attorney - Remote Dauntless Discovery  Miami, FL
Experienced Document Review Attorney ? RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st ... Read more
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Miami,FL

Experienced Document Review Attorney ? RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st

Director of Incident Response Review TransPerfect  Miami, FL
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more
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Miami,FL

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Miami, FL
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more
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Miami,FL

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4:30P Baptist Health South Florida  Miami, FL
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati ... Read more
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Miami,FL

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati

Document Review Staff Attorney DLA Piper  Miami, FL
DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation ... Read more
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Miami,FL

DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation

TRAVEL NURSE RN - CASE MANAGER, UTILIZATION REVIEW - $1,804 PER WEEK Medical Solutions  Miami, FL
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oakland, California.Job Description Requirements Specialty: Utilization ReviewDiscipline ... Read more
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Miami,FL

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oakland, California.Job Description Requirements Specialty: Utilization ReviewDiscipline

Utilization Review Coordinator Arista Recovery  Miami, FL
Job Description Job Description SUMMARY: The primary responsibility of this position is to implement the organization?s Utilization Review(UR) process to ensure appropriate usage of available resource ... Read more
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Miami,FL

Job Description Job Description SUMMARY: The primary responsibility of this position is to implement the organization?s Utilization Review(UR) process to ensure appropriate usage of available resource

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